| Michael Justin Moore, ARNP | |
|
2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | |
| (316) 858-2885 | |
| (316) 858-2530 |
| Full Name | Michael Justin Moore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 2610 N Woodlawn Blvd, Wichita, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427247121 | NPI | - | NPPES |
| 200536250C | Medicaid | KS | |
| P00630601 | Other | KS | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 46060 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greenwood County Hospital | Eureka, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greenwood County Hospital | 0042129603 | 13 |
| South Central Kansas Regional Medical Center | 1456245802 | 17 |
| Entity Name | South Central Kansas Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679672323 PECOS PAC ID: 1456245802 Enrollment ID: O20040209000555 |
| Entity Name | Greenwood County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044961 PECOS PAC ID: 0042129603 Enrollment ID: O20040920000432 |
| Entity Name | Cep America - Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659768125 PECOS PAC ID: 3971814286 Enrollment ID: O20150612000623 |
| Entity Name | Essential Health & Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528502812 PECOS PAC ID: 1153604376 Enrollment ID: O20170214002359 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Justin Moore, ARNP 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 Ph: (316) 858-2885 | Michael Justin Moore, ARNP 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 Ph: (316) 858-2885 |
Mavis A Schultz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 N Hillside St, Wichita, KS 67219 Phone: 316-682-3100 Fax: 316-618-8537 | |
Jacob Loveless, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0296 | |
Amanda Barrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 N Oliver St, Wichita, KS 67220 Phone: 316-942-4519 Fax: 316-942-4655 | |
Anna Christine Kill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3343 W Central Ave, Wichita, KS 67203 Phone: 316-260-4110 Fax: 316-351-5731 | |
Mr. Norman Keith Trevolt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 848 N. St Francis, Ste 3901, Wichita, KS 67214 Phone: 316-268-8500 Fax: 316-291-7993 | |
Kathryn M Filby, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside, Wichita, KS 67214 Phone: 316-962-8580 Fax: 316-962-8581 | |
Ms. Shirley Rae Parish, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 E Sunnybrook Ln, Suite C, Wichita, KS 67210 Phone: 316-651-0062 |